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Heart Valve Repair/Replacement Surgery

  • What is a heart valve repair / replacement surgery?

    Heart valve repair / replacement

    Heart valve surgery is a procedure used to repair or replace diseased heart valves. There are 4 valves in your heart which act like doors to control the blood flow between the different parts of the heart. Normally, these valves open to let blood flow through or out of your heart in one direction, and then shut to keep it from flowing backward. But sometimes they don't work properly. Heart valve problems can occur due to congenital abnormalities (present at birth), or they can develop later in life as a result of infections, degeneration (wear and tear) and other heart conditions.

    Currently, no medicines can cure heart valve disease. Lifestyle changes and medicines often can help to manage symptoms. However, the faulty valves will eventually need to be repaired or replaced in order to protect your heart from further damage.

    Heart valve repair

    Heart valve repair consists of fixing the damaged valve without the use of artificial parts as much as possible. If all efforts to repair the abnormal valve fail, your surgeon will replace the valve during the same procedure.

    Heart valve replacement

    The heart valve can be replaced using artificial valves (made of plastic or metal), or bioprosthetic valves (made of biological material from animal tissue), or an allograft valve (human valve tissue).

    Many surgical approaches can be used to repair or replace heart valves, including open-heart surgery and minimally invasive surgery. Your treatment options will depend on several factors, including your age, your health, the condition of the affected heart valve and the severity of your condition.

  • Heart valve repair / replacement surgery is used to treat patients with valvular heart disease.

    There are 3 main types of heart valve problems:

    • Regurgitation

      Regurgitation is the name for leaking heart valves. It occurs when the heart valves don’t close tightly, allowing blood to leak back into the chambers instead of flowing forward through the heart or into an artery.
    • Stenosis

      Stenosis occurs if the flaps of a valve thicken, stiffen or fuse together. As a result, the heart has to work harder to pump blood through the valve, and the body may suffer from a reduced supply of oxygen.
    • Atresia

      Atresia is when the heart valve lacks an opening for blood to pass through. It can occur as a congenital disease, prior to birth, or develop later in life. Congenital heart valve disease usually involves the pulmonary or aortic valves while valve problems that develop later usually involve the aortic or mitral valves. Both kinds may cause stenosis or regurgitation.

    The decision to repair or replace the heart valve will depend on your symptoms and test results.

    Abnormal functioning of the aortic valve (the valve between the aorta and the left ventricle) can lead to heart failure due to reduced blood supply to the heart muscle. A narrowed or leaking aortic valve needs to be repaired.

    The benefits of a successful heart valve repair surgery are:

    • decreased risk of infection
    • reduced need for blood thinners
    • decreased risk of stroke
    • conserved strength of the heart muscle
    • increased chance of long-term survival

    If the damaged heart valves are left untreated, advance valve disease can lead to serious, life-threatening complications.

  • Valve repair or replacement surgery is done to treat heart valves disease. As with any surgery, there will be some risks involved, depending on your specific medical condition. Be sure to discuss any concerns with your healthcare provider before the procedure.

    Preparing for a heart valve repair / replacement surgery

    You will be asked to fast before the surgery. Your surgeon needs to be aware of all your past medical history, allergies and all the medications you are taking. If you smoke, you should aim to quit smoking for at least 8 weeks before your surgery.

    During a heart valve repair / replacement surgery

    Heart valve repair / replacement surgery is performed under anaesthesia and requires the use of a heart-lung bypass machine to keep the blood moving.

    The recommended procedure may be minimally-invasive, requiring only small incisions through which surgical instruments can be inserted, or involve open heart surgery which requires cutting the chest open, through the breastbone.

    Minimally-invasive procedures usually mean a shorter hospital stay and faster recovery time.

    Heart valve repair surgery may be performed to:

    • patch holes in a valve
    • reconnect valve flaps
    • remove excess valve tissue
    • separate fused valve flaps
    • replace cords that support the valve
    • tighten or reinforce the ring around the valve

    In a heart valve replacement surgery, the faulty or damaged valve is replaced with:

    • a mechanical valve, which will require the life-long use of blood-thinning medications to prevent blood clots
    • a biological valve, made from animal or human heart tissue, which will eventually need to be replaced

    After a heart valve repair / replacement surgery

    Post-surgery, you will spend some time in the intensive care unit (ICU) for observation, to keep watch for signs of infection and monitor your heart activity, blood pressure and breathing. Fluids and medications will be administered intravenously. Tubes will drain urine from your bladder and fluids from your chest.

    Before your discharge, you will be advised on proper care of the incisions, monitoring for infection, pain relief and managing medications.

    Recovery period for a heart valve repair / replacement surgery

    Recovering from valve surgery usually takes between 4 and 8 weeks. If you had a minimally invasive surgery, recover may be shorter. Follow up appointments will be required so your doctor can monitor your recovery and advise when you can return to your daily activities.

  • Our experienced surgeons and staff are equipped to provide the customised care you need throughout your heart valve repair / replacement surgery and recovery.

    Take your first step towards better health today, and experience the quality and customised healthcare.

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  • Our Specialists

    There are 67 SpecialistsView All

    • Tay Lik Wui Edgar

      Specialty:
      Cardiology

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      Clinic:
      Asian Heart & Vascular Centre
      Location:
      3 Mount Elizabeth  #16-07 and #17-08
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      6733 8638
      Clinic:
      Asian Heart & Vascular Centre
      Location:
      38 Irrawaddy Road #08-58 To 63 And #1054/55
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6339 3638
    • Agasthian T

      Specialty:
      Cardiothoracic Surgery

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      Clinic:
      Agasthian Thoracic Surgery Pte Ltd
      Location:
      3 Mount Elizabeth #14-12
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      62688875
    • Aneez DB Ahmed

      Specialty:
      Cardiothoracic Surgery

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      Clinic:
      International Centre For Thoracic Surgery Pte Ltd
      Location:
      38 Irrawaddy Road #10-38
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6591 8801
    • Ang Teck Kee

      Specialty:
      Cardiology

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      Clinic:
      Livingstone Cardiology Pte Ltd
      Location:
      3 Mount Elizabeth #14-13
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      62357536
    • Chan Wan Xian

      Specialty:
      Cardiology

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      Clinic:
      Asian Heart & Vascular Centre
      Location:
      38 Irrawaddy Road #08-58 To 63 And #1054/55
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6339 3638
      Clinic:
      Asian Heart & Vascular Centre
      Location:
      3 Mount Elizabeth #16-07
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      68873422
    • Chee Tek Siong

      Specialty:
      Cardiology
      Sub-specialty:
      Intensive Care Medicine

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      Clinic:
      The Heart Specialist Clinic
      Location:
      3 Mount Elizabeth #14-10
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      62358733
    • Cheng Alfred

      Specialty:
      Cardiology

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      Clinic:
      Alfred Cheng Cardiac Care Pte Ltd
      Location:
      3 Mount Elizabeth #15-15
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      67357735
    • Chew Christopher

      Specialty:
      Cardiology

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      Clinic:
      International Heart Clinic Pte Ltd
      Location:
      3 Mount Elizabeth #06-07
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      63338383
    • Chia Stanley

      Specialty:
      Cardiology

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      Clinic:
      Asian Heart & Vascular Centre
      Location:
      38 Irrawaddy Road #08-58 To 63 And #1054/55
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6339 3638
      Clinic:
      Asian Heart And Vascular Centre
      Location:
      3 Mount Elizabeth #17-08
      Mount Elizabeth Medical Centre
      228510
      Contact No:
      67338638
      Clinic:
      Asian Heart & Vascular Centre
      Location:
      3 Mount Elizabeth  #16-07 and #17-08
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      6733 8638
    • Chiam Toon Lim Paul

      Specialty:
      Cardiology

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      Clinic:
      The Heart And Vascular Centre
      Location:
      3 Mount Elizabeth #08-06
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      6735 3022
      Clinic:
      The Heart & Vascular Centre (Novena)
      Location:
      38 Irrawaddy Road #09-21
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6694 0140

    There are 67 SpecialistsView All

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